<!DOCTYPE html PUBLIC "-//W3C//DTD HTML 4.01 Transitional//EN" "http://www.w3.org/TR/html4/loose.dtd">
<html>
<head>
</head>
<body>
<wicket:extend>
	<table>
		<form wicket:id="registerForm">
		<tr>
			<td>Vorname:</td>
			<td><input type="text" wicket:id="firstname"></td>
		</tr>
		<tr>
			<td>Nachname:</td>
			<td><input type="text" wicket:id="lastname"></td>
		</tr>
		<tr>
			<td>E-Mail:</td>
			<td><input type="text" wicket:id="email"></td>
		</tr>
		<tr>
			<td>E-Mail wiederholen:</td>
			<td><input type="text" wicket:id="email2"></td>
		</tr>
		<tr>
			<td>Neues Passwort:</td>
			<td><input type="password" wicket:id="password"></td>
		</tr>
		<tr>
			<td>ich bin:</td>
			<td><select wicket:id="siteSelection" id="siteSelection"></select></td>
		</tr>
		<tr>
			<td>Geburtsdatum:</td>
			<td><select wicket:id="daySelection" id="daySelection"></select>
				<select wicket:id="monthSelection" id="monthSelection"></select>
				<select wicket:id="yearSelection" id="yearSelection"></select></td>
		</tr>
		<tr>
			<td></td>
			<td><input type="submit" value="Registrieren"></td>
		</tr>
		</form>
	</table>
	<span wicket:id="feedback"></span>
</wicket:extend>
</body>
</html>